Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦...

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Patient in the Patient in the hospital hospital Jana Hermanova

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Transcript of Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦...

Page 1: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Patient in the hospitalPatient in the hospitalJana Hermanova

Page 2: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

The admissionThe admissionPlanned

◦ElectiveUnplanned

◦Acute◦Urgent

Page 3: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

ReceptionReception

Page 4: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

HeliportHeliport

Page 5: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 6: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

EmergencyEmergency

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Types of unitsTypes of unitsGeneralSpecializedAcute careLong term careIntensive careCritical careOther services

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Nursing StationNursing Station

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Nursing StationNursing Station

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Hospital RoomHospital Room

Page 11: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Patient ´s RoomPatient ´s Room

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Intensive CareIntensive Care

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Basic Equipment ICUBasic Equipment ICU

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ICUICU/ARO/ARO

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Long Term Intensive CareLong Term Intensive Care

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Long-Term Intensive CareLong-Term Intensive Care

Page 17: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Social CareSocial Care Services Services

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Social CareSocial Care

Page 19: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Social CareSocial Care

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LaboratoryLaboratory

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Magnetic ResonanceMagnetic Resonance

Page 22: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Radiology CTRadiology CT

Page 23: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Operating TheatreOperating Theatre

Page 24: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Eye SurgeryEye Surgery

Page 25: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

SterilisationSterilisation

Page 26: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 27: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 28: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 29: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 30: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 31: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 32: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.
Page 33: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Occupational TherapyOccupational Therapy

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Spiritual CareSpiritual Care

Page 35: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

VolunteersVolunteers

Page 36: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

PracticePractice

Page 37: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

The healthcare teamThe healthcare team

• Doctors• Nursing staff• Physiotherapists• Occupational

therapists/ergotherapists

• Nutritional therapists

• Social workers

• Pharmacists• Respiratory

therapists• Speech therapists• Spiritual support

persons

Who is missing?

Page 38: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

The four R’sThe four R’sRolesRulesResponsibilitiesLines of reporting

Each has different role to play, subject to different rules related to their different responsibilities

Each will be responsible, accountable to different arbiters of their performance

Page 39: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

The patient is a human – The patient is a human – he/she has Human needshe/she has Human needs…according to Abraham

Maslow…

Page 40: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Physiologic needsPhysiologic needsAirFoodFluidsSleepRestSexShelter

Exercise and activity

EliminationPain avoidanceMaternal

responseStimulationExcitementManipulationExplorationNovelty

Page 41: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Safety needsSafety needsSecurityStabilityDependencyProtectionFreedom from

fear and anxietyStructure

Safety needs incorporate the need for structure, law, order, limits and the strength of a protecting person

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Love and belonging needsLove and belonging needsThe need to be

with othersTo have a wife,

husband, children, colleagues, friends, acquaintances

Important for adequate mental health

If not met the person can feel◦ lonely ◦ separated ◦ rejected ◦ friendless ◦ abandoned ◦ restless

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Love and belonging needs are expressed through our desire for:◦ tenderness◦ affection◦ contact◦ intimacy◦ togetherness ◦face-to-face encounters

Page 44: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Esteem needsEsteem needsThe need for firmly based

wholesome self-evaluation and for respect and esteem of self and esteem for others

Need for feeling a confidence, for independence, for freedom, reputation, dignity, appreciation

Page 45: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Esteem needsEsteem needs

Fulfillment results in:

Self-confidenceFeelings of worthStrengthCapabilityUsefulnessAdequacy

Deprivation results in feelings of:

InferiorityHelplessnessWeaknessDiscouragement

When serious, it leads to compensatory or neurotic behavior

Page 46: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Self actualizationSelf actualizationThe person is self fulfilledHe must be what he can beHe must fulfill his purpose in the

worldSelf actualization is confined to

adults

Page 47: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

Characteristics of a self Characteristics of a self actualized personactualized personIs realistic, sees life clearlyJudges people correctlyHas clear notion of right and wrongIs usually accurate in predicting future

eventsUnderstands art, music, politics and

philosophyListens to others carefullyIs dedicated to some work, task, duty

or vocationIs highly creative, flexible,

spontaneous, courageous, willing to make mistakes

Page 48: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

……Is self confident, has self respectIntegrated personality, low degree of

self- conflictPossesses a feeling of self controlIs highly independent, desires privacyCan appear remote and detachedIs friendly, governed more by inner

directivesCan make decisions contrary to

popular opinionIs problem centered rather than self

centered

Page 49: Patient in the hospital Jana Hermanova. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent.

How do we meet our How do we meet our needs?needs?Healthy ways – not harmful to others or

self, conform to socio-cultural values, are within the law x Unhealthy behaviors

Independently x with assistance

It may all change during hospitalizationEach member of the team contributes

by their special way to the patient’s needs being met


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